CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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徐泽宽 , 张炜 , 刘训良 , 吴宏飞 , 苗毅 , 顾民 , 睦元庚 , 武正炎

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胰肾联合移植感染围手术期

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目的总结胰肾联合移植术后感染的特点，并对其预防及治疗进行讨论。方法对我院施行的2例胰肾联合移植术后感染的临床资料结合有关文献进行讨论。结果1例术后发生7次感染，其中2次为肺部感染，4次为泌尿系感染，1次为巨细胞病毒感染，移植之胰肾有功能存活3年余；另1例发生呼吸系统及泌尿系统感染各1次，术后早期恢复尚可，3周发生急性肾排斥，7周死于混合菌感染败血症。结论胰肾联合移植围手术期感染根据其临床特点，正确的围手术期处理非常重要。

Citation： 徐泽宽,张炜,刘训良,吴宏飞,苗毅,顾民,睦元庚,武正炎. CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 424-425. doi: Copy

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1. Stratta RJ. Mortality after vascularized pancreas transplantation [J]. Surgery, 1998; 124(4)∶823.
2. Ghasemian SR, Light JA, Currier C, et al. Tacrolimus vs Neoral in renal and renalpancreas transplantation [J]. Clin Transplant, 1999; 13(1 Pt 2)∶123.
3. Smith JL, See WA, Ames SA, et al. Lower urinary tract complications with patients with duodenocystostomies for exocrine drainage of the transplanted pancreas [J]. Transplant Proc, 1991; 23(1 Pt 2)∶1611.
4. Smets YF, van der Pijl JW, van Dissle JT, et al. Infectious disease complications of simultaneous pancreas kidney transplantation [J]. Nephrol Dial Transplant, 1997; 12(4)∶764.
5. Sollinger HW, Messing EM, Eckhoff DE, et al. Urological complications in 210 consecutive simultaneous pancreaskidney transplants with bladder drainage [J]. Ann Surg, 1993; 218(4)∶561.
6. West M, Gruessner AC, Metrakos P, et al. Conversion from bladder to enteric drainage after pancreaticoduodenal transplantations [J]. Surgery, 1998; 124(5)∶883.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）

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